Republic of the Philippines SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao del Sur Tel. no.:
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1 Rpublic of th Philippins SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao dl Sur Tl. no.: Bids and Awards Committ on Goods REQUEST FOR QUOTATION (RFQ) Supply and Dlivry of Mdical and Dntal Supplis RFQ No: Th Surigao dl Sur Stat Univrsity (SDSSU) Tandag Campus, through th STF intnds to apply th sum of Two Hundrd Twnty Fiv Thousand Nin Hundrd Ninty Eight Psos Only (P 225,998.00) bing th approvd Budgt for th Contract (ABC) to paymnts for th Supply and Dlivry of Mdical and Dntal Supplis for which this Rqust for Quotation is issud. 2. Th SDSSU, hrin aftr rfrrd to as th Purchasr now rqust you to submit pric quotation for th supply and dlivry of th following: Itm No. Dscription Qty. Unit Mdical and Dntal Supplis 1 lot 4"x4"-8 Ply Gauz 100 pcs/pkg 10 packs On Touch Ultra Tst Strips 200 pcs Mfnamic Acid 500 mg. caps (gnrics) 1000 Amoxycilin 500 mg caps (gnrics) 1000 Cfalxin 500mg 500 Ambroxol 30 mg. tab. (mucosolvan) 500 tablt Salbutamol Bronlid 2 mg 300 tablt Carbocystin 500mg ml Btadin 10% solution 12 bots. Efficascnt Oil xtra Strngth 60ml 20 bots. Nozp 500 mg tablt 1000 tablt Erythromycin 500mg 300 Krmil-S 500mg tablt 200 tablt Biogsic 500mg tablt 1000 tablt Lukoplast Plastr whit surgical tap 1 tub/
2 (10 pics assortd 4x1.25cm;2x5cm;1x7.5cm) assortd Essntial Fort 500mg 1000 Diatabs/Lopramid 500 Amlodipin 10mg tab 200 tablt BioFlu 500mg 1000 tablt Strss Tablt 500mg 1000 tablt Cotrimoxazol 800mg caps 250 tablt Dicyclovrin tablt 20mg 100 tablt Ascorbic Acid 500mg 1000 tablt Rvitaflx (Vit.B-complx) 1000 tablt Frrous Sulfat 100 tablt Mtformin Glumt 200 tablt Ctirizin Dihydrocholorid 10mg 500 Tablt Lidocain HCL + Epinphrin 20mg/ml 2% ( dntal ansthsia) 50's Mouth Mirror 1 pc Disposabl Glass 50 pcs Colgat 200mg 10 tub Xylocain 5% Lidocain 35g ointmnt 4 tub Bactidol Mouth wash 60ml Dntal Ndls Short G 27, 50's Dntal Ndls Long G 27, 50's Dycal & Frmin for Tmp Filling & Inflammation Casino Alcohol 70% Hyosin N Butyl Bromid Tablt 5 bots. 10 bots pcs Dolfnal 500mg. Capsul 1000 pcs Gauz Swab 3"x3"- 8 ply unstril Naproxn (Flanax) 500mg Visin Eydrop (For rd ys) 10 Packs 100 Caps 6 Bots Alaxan FR 500mg 200 Caps
3 Salbutamol Nbul Rubitussin Liquick 400mg 50 Tubs 500 Caps Losartan 50 mg tablt 500 Tabs Ponstan 500mg tablt 300 Caps Mtronidazol 300 Tabs Ttanus Toxoid Vial 2 Vial Cotton Swab/ buds 100 tips 10 Packs Band Aid 4 Box Stril Watr (Parntral) 10ml 5 Vials On Touch Stril Lanct 100 Pcs Lysol Spray Crisp Linn Scnt 510 Grams 10 Bots Safguard Soap whit 100 grms 20 Pcs Surf Antibac Powdr 480 grams 10 Pcs Lorvazin-Silvr Sulphadiazin 1% Cram-USP tub 4 Tubs Allr CM Tablt Ciproflozacin 500mg caps 200 Pcs 200 Capsul s Injction Syring siz 5ml with ndl gaug 24 Pcs Insulin Syring with ndl (short), 100pcs 100 Box Tubrcullin Syring (for skin tst) 20 Pcs Elastic Bandag 10 Roll Cotton Swab/ Buds 100 tips 10 Packs On Touch Slct Simpl Tst Strips 5 Box ATS Injction 1,500 u 15 Ampul DSLR 500ml BP Apparatus with Stthoscop Disposabl Glovs siz 7 Disposabl Masks 2 Bot 1 St 50 Pcs 50 Pcs 70% Rubbing Alcohol 500ml 20 Bot Stril Watr for wound irrigation 500ml Stril Gaug 4 x 4 x 8 ply 100 pcs/box 5 Bot 100 packs
4 3. A st of tchnical spcifications for th abov itms ar providd in Attachmnt 1. All itms listd undr th purchasrs spcifications must b complid on a pass-fail basis. Failur to mt any on of th rquirmnts will rsult to rjction. 4. Bidding procdurs will b conductd in accordanc with th provisions of th Implmnting Ruls and Rgulations-A (IRR-A) of Rpublic Act It is th intnt of th Purchasr to valuat th quotation for ach itm sparatly, and award will b mad to th quotation or combination of quotations rsulting in th ovrall lowst cost. Quotation for on or mor or all itms will b considrd. Contract Award will b mad to th lowst valuatd quotation (s) mting purchasr s tchnical spcifications. 6. Quotations must b dlivrd at th BAC Offic of Surigao dl Sur Stat Univrsity, Main Campus, Rosario Tandag City, Surigao dl Sur not latr than 10:00 AM of April 30, Your prics must b quotd in Philippin Pso and must includ th unit pric and total pric, inclusiv of all taxs to b paid and othr incidntal cost to th dlivry sit if th contract is awardd. 8. All quotations must b typwrittn and must b placd in sald nvlop markd Supply and Dlivry of Mdical and Dntal Supplis (RFQ No. 38). 9. Quotations shall b valid for sixty (60) calndar days from th Opning of Bids. 10. Th dlivry priod shall b within fiftn (15) calndar days from rcipt of th Notic to Procd (NTP). 11. DELIVERY SITE: Surigao dl Sur Stat Univrsity (SDSSU), Main Campus,Tandag City, Surigao dl Sur. 12. Th applicabl rat for lat dlivris is on tnth (1/10) of on prcnt (1%) of th cost of th unprformd portion for vry day of dlay. Th maximum dduction shall b tn prcnt (10%) of th amount of contract. Onc th cumulativ amount of liquidatd damags rachs tn prcnt (10%) of th amount of th contract, th procuring ntity shall rscind th contract, without prjudic to othr courss of action and rmdis opn to it. 13. Th SDSSU rsrvs th right to accpt or rjct any quotation, and to annul th bidding procss and rjct all quotations at any tim prior to Contract award, without thrby incurring any liability to th affctd biddr or biddrs and to waiv any minor dfcts or infirmitis thrin and to accpt such quotation as may b considrd advantagous to th govrnmnt. 14. Th prospctiv biddr shall submit th following: a. Quotation Form b. Tchnical Spcification c. Crtificat of PHIL-GEPS Rgistration Sgd. FLORIIFE O. URBIZTONDO, DPA BAC CHAIRMAN
5 Rpublic of th Philippins SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao dl Sur Tl. no.: QUOTATION FORM Dat: RFQ No. 038 Th Chairman Th Bids and Award Committ on Goods SDSSU-Main Campus 1) Having xamind th subjct Rqust for Quotation including th Tchnical Spcifications, w, th undrsignd offr to supply and dlivr th following itms (with our unit pric and total) Itm No. Dscription Qty Unit Unit Pric Mdical and Dntal Supplis 1 lot 4"x4"-8 Ply Gauz 100 pcs/pkg 10 packs On Touch Ultra Tst Strips 200 pcs Mfnamic Acid 500 mg. caps (gnrics) 1000 Amoxycilin 500 mg caps (gnrics) 1000 Cfalxin 500mg 500 Ambroxol 30 mg. tab. (mucosolvan) 500 tablt Salbutamol Bronlid 2 mg 300 tablt Carbocystin 500mg ml Btadin 10% solution 12 bots. Efficascnt Oil xtra Strngth 60ml 20 bots. Nozp 500 mg tablt 1000 tablt Erythromycin 500mg 300 Krmil-S 500mg tablt 200 tablt Biogsic 500mg tablt 1000 tablt Lukoplast Plastr whit surgical tap 1 tub/ (10 pics assortd 4x1.25cm;2x5cm;1x7.5cm) Essntial Fort 500mg 1000 assort d Total
6 Diatabs/Lopramid 500 Amlodipin 10mg tab 200 tablt BioFlu 500mg 1000 tablt Strss Tablt 500mg 1000 tablt Cotrimoxazol 800mg caps 250 tablt Dicyclovrin tablt 20mg 100 tablt Ascorbic Acid 500mg 1000 tablt Rvitaflx (Vit.B-complx) 1000 tablt Frrous Sulfat 100 tablt Mtformin Glumt 200 tablt Ctirizin Dihydrocholorid 10mg 500 Tablt Lidocain HCL + Epinphrin 20mg/ml 2% ( dntal ansthsia) 50's Mouth Mirror 1 pc Disposabl Glass 50 pcs Colgat 200mg 10 tub Xylocain 5% Lidocain 35g ointmnt 4 tub Bactidol Mouth wash 60ml 5 bots. Dntal Ndls Short G 27, 50's Dntal Ndls Long G 27, 50's Dycal & Frmin for Tmp Filling & Inflammation Casino Alcohol 70% 10 bots. Hyosin N Butyl Bromid Tablt 1000 pcs Dolfnal 500mg. Capsul 1000 pcs Gauz Swab 3"x3"- 8 ply unstril 10 Packs Naproxn (Flanax) 500mg 100 Caps Visin Eydrop (For rd ys) 6 Bots Alaxan FR 500mg 200 Caps Salbutamol Nbul 50 Tubs Rubitussin Liquick 400mg 500 Caps Losartan 50 mg tablt 500 Tabs Ponstan 500mg tablt 300 Caps Mtronidazol 300 Tabs Ttanus Toxoid Vial 2 Vial
7 Cotton Swab/ buds 100 tips 10 Packs Band Aid 4 Box Stril Watr (Parntral) 10ml 5 Vials On Touch Stril Lanct 100 Pcs Lysol Spray Crisp Linn Scnt 510 Grams 10 Bots Safguard Soap whit 100 grms 20 Pcs Surf Antibac Powdr 480 grams 10 Pcs Lorvazin-Silvr Sulphadiazin 1% Cram-USP tub 4 Tubs Allr CM Tablt 200 Pcs Ciproflozacin 500mg caps Injction Syring siz 5ml with ndl gaug Insulin Syring with ndl (short), 100pcs 200 Capsul s 24 Pcs 100 Box Tubrcullin Syring (for skin tst) 20 Pcs Elastic Bandag 10 Roll Cotton Swab/ Buds 100 tips 10 Packs On Touch Slct Simpl Tst Strips 5 Box ATS Injction 1,500 u 15 Ampul DSLR 500ml 2 Bot BP Apparatus with Stthoscop 1 St Disposabl Glovs siz 7 50 Pcs Disposabl Masks 50 Pcs 70% Rubbing Alcohol 500ml 20 Bot Stril Watr for wound irrigation 500ml 5 Bot Stril Gaug 4 x 4 x 8 ply 100 pcs/box 100 packs 2) W undrtak, if our Quotation or Bid is accptd, to dlivr th abov goods within th fiftn (15) days dlivry priod. 3) W agr to abid by this Quotation/Bid for a priod of sixty (60) days aftr th datd dadlin of submission spcifid in your RFQ. 4) W undrstand that paymnt for itms dlivrd will b mad to th winning supplir within thirty (30) days aftr inspction and accptanc of goods dlivrd. Company Nam: Addrss: Signatur ovr Printd Nam: Contact No:
8 Rpublic of th Philippins SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao dl Sur Tl. no.: TECHNICAL SPECIFICATIONS Purchasr s Spcifications Supplir s Spcifications (plas stat Comply or Not Comply Mdical and Dntal Supplis 4"x4"-8 Ply Gauz 100 pcs/pkg On Touch Ultra Tst Strips Mfnamic Acid 500 mg. caps (gnrics) Amoxycilin 500 mg caps (gnrics) Cfalxin 500mg Ambroxol 30 mg. tab. (mucosolvan) Salbutamol Bronlid 2 mg Carbocystin 500mg 60 ml Btadin 10% solution Efficascnt Oil xtra Strngth 60ml Nozp 500 mg tablt Erythromycin 500mg Krmil-S 500mg tablt Biogsic 500mg tablt Lukoplast Plastr whit surgical tap (10 pics assortd 4x1.25cm;2x5cm;1x7.5cm) Essntial Fort 500mg Diatabs/Lopramid Amlodipin 10mg tab BioFlu 500mg
9 Strss Tablt 500mg Cotrimoxazol 800mg caps Dicyclovrin tablt 20mg Ascorbic Acid 500mg Rvitaflx (Vit.B-complx) Frrous Sulfat Mtformin Glumt Ctirizin Dihydrocholorid 10mg Lidocain HCL + Epinphrin 20mg/ml 2% ( dntal ansthsia) 50's Mouth Mirror Disposabl Glass Colgat 200mg Xylocain 5% Lidocain 35g ointmnt Bactidol Mouth wash 60ml Dntal Ndls Short G 27, 50's Dntal Ndls Long G 27, 50's Dycal & Frmin for Tmp Filling & Inflammation Casino Alcohol 70% Hyosin N Butyl Bromid Tablt Dolfnal 500mg. Capsul Gauz Swab 3"x3"- 8 ply unstril Naproxn (Flanax) 500mg Visin Eydrop (For rd ys) Alaxan FR 500mg Salbutamol Nbul Rubitussin Liquick 400mg Losartan 50 mg tablt
10 Ponstan 500mg tablt Mtronidazol Ttanus Toxoid Vial Cotton Swab/ buds 100 tips Band Aid Stril Watr (Parntral) 10ml On Touch Stril Lanct Lysol Spray Crisp Linn Scnt 510 Grams Safguard Soap whit 100 grms Surf Antibac Powdr 480 grams Lorvazin-Silvr Sulphadiazin 1% Cram-USP tub Allr CM Tablt Ciproflozacin 500mg caps Injction Syring siz 5ml with ndl gaug Insulin Syring with ndl (short), 100pcs Tubrcullin Syring (for skin tst) Elastic Bandag Cotton Swab/ Buds 100 tips On Touch Slct Simpl Tst Strips ATS Injction 1,500 u DSLR 500ml BP Apparatus with Stthoscop Disposabl Glovs siz 7 Disposabl Masks 70% Rubbing Alcohol 500ml Stril Watr for wound irrigation 500ml Stril Gaug 4 x 4 x 8 ply 100 pcs/box
Republic of the Philippines SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao del Sur Tel. no.:
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